Prevention of Neurotoxicity by High-dose Folinic Acid Rescue after High-dose Methotrexate and Intrathecal Methotrexate without Compromising Cure inspite of Previous Transient Leukoencephalopathy after Intrathecal Methotrexate
Author:
Affiliation:
1. National University of Malaysia, Kuala Lumpur, Malaysia
Publisher
Academy of Medicine, Singapore
Subject
General Medicine
Reference6 articles.
1. Vezmar S, Becker A, Bode U, Jaehde U. Biochemical and clinical aspects of methotrexate neurotoxicity. Chemotherapy 2003;49:92-104.
2. Mahoney DH, Shuster JJ, Nitscke R, Lauer SJ, Steuber CP, Winick N, et al. Acute neurotoxicity in children with B-precursor acute lymphoblastic leukemia: an association with intermediate-dose intravenous methotrexate and intrathecal triple therapy: a Pediatric Oncology Group study. J Clin Oncol 1998;16:1712-22.
3. Dunkelman H, Earl HM, Twelves C. Acute reversible neurological deficit following intrathecal chemotherapy. Cancer Chemother Pharmacol 1991;27:329-30.
4. Cohen IJ, Stark B, Kaplinsky C, Weitz R, Matz S, Lerman P, et al. Methotrexate-induced leucoencephalopathy is treatable with high-dose folinic acid: A case report and analysis of the literature. Pediatr Hematol Oncol 1990;7:79-87.
5. Cohen IJ. Defining the appropriate dosage of folinic acid after high-dose methotrexate for childhood acute lymphatic leukemia that will prevent neurotoxicity without rescuing malignant cells in the central nervous system. J Pediatr Hematol Oncol. 2004;26:156-63.
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